| NPI | 1780672089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 25910) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A53065) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2021-03-22 |